Method and apparatus for non-invasive fetal oximetry

Abstract

Method and apparatus to non-invasively measure fetal blood oxygen saturation levels. Optical sensors capable of producing and detecting multiple wavelengths of tissue penetrating light are placed on the surface of the maternal abdomen, and the light beams directed to pass through at least a portion of the uterus containing the fetus. The fetal heart rate is monitored by Doppler ultrasound, and pure maternal optical signal related to maternal arterial blood flow are also measured. The optical sensors collect composite signals containing both maternal and fetal hemoglobin absorption spectral data and modulated by their respective pulsatile blood flows. The composite signals processed in the time domain and frequency domain, the pure maternal pulsatile optical signal used to extract the maternal contribution to the composite signal, and the fetal pulsatile signal is used to lock onto and extract the fetal contribution to the composite signal, and a fetal blood oxygen level deduced.

Description

BACKGROUND OF THE INVENTION[0001]1. Field of the Invention[0002]The present invention relates generally to methods and devices to monitor patient blood oxygen saturation, and more specifically to methods and devices used to measure the oxygen saturation level of the arterial blood flow of a fetus.[0003]2. Description of the Prior Art[0004]The later stages of pregnancy, as well as labor and delivery, can be a dangerous time for the fetus. If the fetal umbilical cord becomes twisted in an unfavorable position, the placenta detaches prematurely, or if the fetus is otherwise placed in a situation of undue stress, fetal blood oxygen saturation levels can fall dangerously low, resulting in potential fetal brain damage (such as cerebral palsy) or death.[0005]Although fetal heart monitors can be used as a surrogate means to attempt to measure fetal blood oxygen saturation levels, this method is indirect, and thus does not give a fully complete understanding of the fetal status. As a result ...

AI Technical Summary

Benefits of technology

[0011]In one embodiment, the method works by placing suitable sensors on the outside surface (skin) of the mother's abdomen, in a safe, unobtrusive, and inexpensive manner designed to encourage widespread adoption.

[0013]The sensor information from the fetal pulse, and optionally other fetal movements as well, is used to lock onto those portions of the composite optical signal that are fetal in origin, and differences in the fetal optical signals at the different wavelengths that are due to oxyhemoglobin vs. deoxyhemoglobin are assessed, and used to determine fetal blood oxygen saturation levels. In an optional embodiment, spectral differences between the oxy and deoxy forms of fetal hemoglobin, versus the spectral differences between the oxy and deoxy hemoglobin forms of adult hemoglobin, can be used to enhance accuracy. In other optional embodiments, the presence of abnormal forms of hemoglobin, such as the hemoglobin forms present in genetic diseases such as sickle cell anemia, may be also be detected and compensated for.

Problems solved by technology

The later stages of pregnancy, as well as labor and delivery, can be a dangerous time for the fetus.

If the fetal umbilical cord becomes twisted in an unfavorable position, the placenta detaches prematurely, or if the fetus is otherwise placed in a situation of undue stress, fetal blood oxygen saturation levels can fall dangerously low, resulting in potential fetal brain damage (such as cerebral palsy) or death.

Although fetal heart monitors can be used as a surrogate means to attempt to measure fetal blood oxygen saturation levels, this method is indirect, and thus does not give a fully complete understanding of the fetal status.

As a practical matter, doctors tend to err on the side of caution, resulting in many unnecessary C-sections, and the attendant high medical expenses and maternal post-childbirth complications.

Unfortunately, due to the high invasiveness and bother of the procedure, the method met with limited medical acceptance in the field, and the manufacturer eventually decided to stop selling the device.

Physicians are highly aware that they will be vulnerable to malpractice lawsuits in the event of potentially preventable fetal neurological damage or death.

The problem is now so severe that over 30% of all births are now done by C-section, up from only a few percent only a few decades ago.

As a result, each year, many billions of dollars of scarce medical resources are wasted performing unnecessary C-sections that might be better spent saving lives elsewhere.

Images